Apply for Assistance

Please enable JavaScript in your browser to complete this form.
Name
Gender
Marital Status:
Are you receiving income benefits?
Are you willing to work a full-time job?
Do you currently have a job?
Are you capable of working a full-time job?
Address
Do you have a sponsor?
Completed Treatment?
Do you have pending or current cases in the court system?
Currently Living
Address

Financial Statement

• Thank you note for grant
• 2nd note about your 1st goal or milestone achieved ( 3 month )
• 3rd note about your 2nd milestone or goal reached ( 6 month)
• 4th note about someone you helped or a 3rd goal reached.
Click or drag a file to this area to upload.
Tell us why you feel you deserve help and why have you chosen us? Your goals and plans for staying sober? What have you accomplished so far?
Click or drag a file to this area to upload.
Attach a recommendation letter from the sober living house you are applying to. This recommendation must include:
a. An explanation of the applicant's previous treatment history.
b. What makes this applicant a good candidate for your sober living house
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Notes

If this is the first time this Sober Living House has used our scholarships from our Foundation, the vetting process of this application could take up to 2 weeks.